BLISS 2021 Employee Wellness Interest Survey

Thank you for taking the time to complete this survey. Your responses will help inform our 2022 Wellness Program

Question Title

* 1. What is the number one reason you would participate in a wellness program?
(Please mark only one)

Improve overall health/ feel better

Improve physical appearance

Manage stress

Lower cholesterol

Improve blood pressure

Would not participate

Lose weight

Manage chronic conditions (diabetes, asthma, etc..)

Other (please specify)

Question Title

* 2. What incentive would motivate you the most to change your health?
(Please mark only one)

Incentives (t-shirt, prize drawings, etc.)

Reduction in my health care premium

Additonal contribution to my HSA, HRA, or FSA

Cash prizes or gift cards

Paid Time Off

Other (please specify)

Question Title

* 3. Would you be interested in partial reimbursement for a wellness, fee-based activity or membership? (i.e. yoga class, gym membership, community walking/running event, nutritional consultation etc.)

Yes

If yes, please specify what you might be interested in pursuing.

Question Title

* 4. What support would motivate you the most to change your health?
(Please mark only one)

Advice from doctor/ medical professional

Family support

Co-worker support

Supervisor support

On-site coaching support

Recognition

On site fitness facility or equipment

Question Title

* 5. If you participated in a health program, how would you like to receive information?
(Please check all that apply)

CD/ DVD

Onsite programs/ One time or Series

Books and booklets

Onsite support groups

Online Wellness Portal (includes exercise and food logs, online workshops, recipes etc.)

Online or telephone coaching

Offsite or community classes/groups

Social media (facebook, twitter, etc..)

Other (please specify)

Question Title

* 6. Would you be willing to share in the cost for some health-related activities and/or programs?

Yes

Maybe

Please explain

Question Title

* 7. HEALTH MANAGEMENT
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

Alcohol/drug use prevention and recognition

Asthma

Diabetes

Headache prevention and treatment

Heart disease

High blood pressure

Managing Chronic pain

Quitting smoking

Screening programs (Blood Pressure checks, Blood sugar checks, Cholesterol levels)

Other (please specify)

Question Title

* 8. SPECIFIC POPULATION HEALTH
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

Self-Help/ Self-Care

Children’s health

Healthy pregnancy/ Prenatal care

Menopause

Men's Health (testicular exam, prostate, etc..)

Preventing Osteoporosis

Women's Health (Breast exam, pelvic, etc..)

Other (please specify)

Question Title

* 9. NUTRITION
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

General Nutrition

Healthy cooking (meals/ snacks)

Healthy eating (do’s & don’ts)

Nutritional counseling

Weight management programs (diet & exercise)

Other (please specify)

Question Title

* 10. LIFE SKILLS
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

Balancing work and family

Caring for an aging/ ill family member

Communication skills

Managing money/ Personal Finances

Parenting skills

Preparing for death (writing a will, funeral arrangements, organ donations, etc.)

Time management

Other (please specify)

Question Title

* 11. MENTAL HEALTH
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

Caring for the emotional and spiritual self

Depression/ depression treatment

Domestic violence

Mental Health

Relationships

Self-esteem

Sleeping better

Stress management

Support Groups

Workplace emotional abuse

Other (please specify)

Question Title

* 12. EXERCISE
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

Aerobic activity

Corporate fitness membership rates

Dance class (swing, ballroom, etc.)

Exercise

Increasing physical activity

On-site, low impact exercise equipment

Physical Activity Challenge program

Resistance training/ WT training

Specialty fitness class for chronic pain (arthritis, fibromyalgia, etc.)

Stretching/Flexibility/Strength (yoga, Pilates, etc.)

Training for sports, walks, or runs

Walking program

Other (please specify)

Question Title

* 13. What kinds of activities do you participate in during your non-work time? Please check all that apply:

Walking/Walk the Dog

Time with Family and Friends

Outdoor activities (Swim, Ski, Hike, Run, Bike, Snow Shoe, Boating,Golf etc.)

Reading

Crafts (Knitting, Scrapbooking, Puzzles, Sewing, etc.)

Hunting, Fishing, Camping, etc..

Sports (Volleyball, Soccer, Baseball, Tennis, etc.)

Cooking

TV, Video Games, Movies, Computer time, etc.

Gym memberships and classes (Zumba, Yoga, Strength training, Spinning, etc.)

Community Groups & Volunteering

Housework

Yard work/Gardening

Other (please specify)

Question Title

* 1. What is the number one reason you would participate in a wellness program?(Please mark only one)

Question Title

* 2. What incentive would motivate you the most to change your health?(Please mark only one)

Question Title

* 3. Would you be interested in partial reimbursement for a wellness, fee-based activity or membership? (i.e. yoga class, gym membership, community walking/running event, nutritional consultation etc.)

Question Title

* 4. What support would motivate you the most to change your health?(Please mark only one)

Question Title

* 5. If you participated in a health program, how would you like to receive information? (Please check all that apply)

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* 6. Would you be willing to share in the cost for some health-related activities and/or programs?

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* 7. HEALTH MANAGEMENTPlease indicate which of the following topics are of interest to you.(Please check all that apply)

Question Title

* 8. SPECIFIC POPULATION HEALTHPlease indicate which of the following topics are of interest to you.(Please check all that apply)

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* 9. NUTRITIONPlease indicate which of the following topics are of interest to you.(Please check all that apply)

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* 10. LIFE SKILLSPlease indicate which of the following topics are of interest to you.(Please check all that apply)

Question Title

* 11. MENTAL HEALTHPlease indicate which of the following topics are of interest to you.(Please check all that apply)

Question Title

* 12. EXERCISEPlease indicate which of the following topics are of interest to you.(Please check all that apply)

Question Title

* 13. What kinds of activities do you participate in during your non-work time? Please check all that apply:

* 1. What is the number one reason you would participate in a wellness program?
(Please mark only one)

* 2. What incentive would motivate you the most to change your health?
(Please mark only one)

* 4. What support would motivate you the most to change your health?
(Please mark only one)

* 5. If you participated in a health program, how would you like to receive information?
(Please check all that apply)

* 7. HEALTH MANAGEMENT
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

* 8. SPECIFIC POPULATION HEALTH
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

* 9. NUTRITION
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

* 10. LIFE SKILLS
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

* 11. MENTAL HEALTH
Please indicate which of the following topics are of interest to you.
(Please check all that apply)

* 12. EXERCISE
Please indicate which of the following topics are of interest to you.
(Please check all that apply)